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General NPI Number Information
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NPI Number | 1235537697
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Entity Type | Organization
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Legal Business Name | NRFHC-LANCASTER II OPS, LLC
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 2750 W FAIR AVE
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City | LANCASTER
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State | OH
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Zip | 43130-9500
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Country | US
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Telephone | 740-653-1423
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Fax | 740-653-1423
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Provider Business Mailing Address
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Address Line | 2750 W FAIR AVE
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City | LANCASTER
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State | OH
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Zip | 43130-9500
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Country | US
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Telephone | 740-653-1423
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Fax | 740-653-1423
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CARRIE VELLIQUETTE
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Credential |
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Telephone | 740-653-1423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 2635R
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License Number State | OH
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